Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,570.40 / $6,760.83	Facility		$436.52	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $602.56	Professional		$239.88	$281.84	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $741.31	Professional		$275.42	$588.84	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $1,174.90	Professional		$245.47	$446.68	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $602.56 / $14,454.40	Facility		$263.03	$602.56	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $1,905.46	Professional		$275.42	$489.78	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $691.83	Professional		$512.86	$616.60	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $691.83	Professional		$446.68	$537.03	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $537.03	Professional		$229.09	$416.87	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $15,848.93	Facility		$2,570.40	$5,495.41	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $741.31	Professional		$269.15	$398.11	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $575.44	Professional		$389.05	$489.78	$575.44